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NPI Code Detail

MEDICARE: INTEGRITY HOME CARE SERVICES LLC

MEDICARE: INTEGRITY HOME CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1700741824
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRITY HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 9309 CANARY IVY LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32219-6003
Country : US
Telephone Number : 904-333-0217
Fax Number :
Provider Business Practice Location Address
First Line : 209 W 18TH ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32206-2818
Country : US
Telephone Number : 904-333-0217
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. DONTAVIA TANIAH YANCEY
Credential :
Telephone Number : 904-333-0217
Provider Enumeration Date : 12/20/2025
Last Update Date : 01/06/2026

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